Affordable Access

Publisher Website

Surgical Management of a Mandible Subcondylar Fracture

Archives of Plastic Surgery
Archives of Plastic Surgery (KAMJE)
Publication Date
DOI: 10.5999/aps.2012.39.4.284
  • Topic: Mandibular Condyle Fracture
  • Medicine
  • Physics


Open reduction and anatomic reduction can create better function for the temporomandibular joint, compared with closed treatment in mandible fracture surgery. Therefore, the double miniplate fixation technique via mini-retromandibular incision was used in order to make the most stable fixation when performing subcondylar fracture surgery. Those approaches provide good visualization of the subcondyle from the posterior edge of the ramus, allow the surgeon to work perpendicularly to the fracture, and enable direct fracture management. Understanding the biomechanical load in the fixation of subcondylar fractures is also necessary in order to optimize fixation methods. Therefore, we measured the biomechanical loads of four different plate fixation techniques in the experimental model regarding mandibular subcondylar fractures. It was found that the loads measured in the two-plate fixation group with one dynamic compression plate (DCP) and one adaption plate showed the highest deformation and failure loads among the four fixation groups. The loads measured in the one DCP plate fixation group showed higher deformation and failure loads than the loads measured in the two adaption plate fixation group. Therefore, we conclude that the selection of the high profile plate (DCP) is also important in order to create a stable load in the subcondylar fracture.

There are no comments yet on this publication. Be the first to share your thoughts.


Seen <100 times

More articles like this

A novel surgical approach to subcondylar fractures...

on The Journal of craniofacial su... March 2008

[Indications for various reconstruction and osteos...

on Fortschritte der Kiefer- und G... 1996

Management of subcondylar mandible fractures in th...

on The Journal of craniofacial su... January 2014

The use of endoscopy in the management of subcondy...

on Oral surgery, oral medicine, o... November 1999
More articles like this..